A randomized controlled trial of cystoinflation to prevent bladder injury in the adhesive disease of multiple caesarean sections.

ABSTRACT: Caesarean sections carry the risk of urinary bladder injury due to formation of adhesions obscuring pelvic planes. Visualizing bladder during retro-fill (cystoinflation) makes it recognizable as it rises into the abdomen taking a tense rounded contour. We conducted a prospective randomized controlled trial to find out whether improved identification of bladder margins by cystoinflation could decrease bladder injury rate and blood loss without causing urological complications. This study included 214 healthy women with previous operative deliveries undergoing elective caesarean section and found to have dense pelvic adhesions. The subjects were randomly allocated into cystoinflation and control groups. Adhesiolysis was performed using bladder retro-fill with 300 cc saline in cystoinflation

SUBMITTER: Saaqib S 

PROVIDER: S-EPMC7499421 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature